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One Big Beautiful Bill Act (OBBBA) Provisions Timeline
The AHA has developed this resource to visualize the enactment timeline for provisions in the One Big Beautiful Bill Act (OBBBA) impacting hospitals and health systems.
Detailed Summary of One Big Beautiful Bill Act (OBBBA; Public Law No. 119-21)
President Trump July 4 signed into law the OBBBA; Public Law No. 119-21, a sweeping package that enacts many of the administration’s legislative priorities on taxes, border security and energy. The bill includes significant policy changes to Medicaid and the Health Insurance Marketplaces.
Resources on the One Big Beautiful Bill Act Signed Into Law July 4, 2025
The Senate July 1, and the House July 3, passed a budget reconciliation bill with policy changes to Medicaid and the Health Insurance Marketplaces.
America Needs Strong Hospitals to Support Healthy and Thriving Communities
We are continuing our full court press to make the case to lawmakers that enacting significant cuts to Medicaid would jeopardize access to care for the more than 72 million people who rely on the program.
Uniting to Protect Access to Care for Patients and Communities
After a week’s delay to try to build consensus among Republicans — due in large part to concerns we have been raising about Medicaid cuts — the House Energy & Commerce Committee could begin next week drafting its portion of the budget reconciliation bill as part of President Trump’s agenda to advance tax cuts that disproportionately benefit high income individuals.
Use AHA advocacy resources ahead of May 13 House committee markups
The House committees with jurisdiction over Medicaid and other health care programs have announced they will begin marking up their portions of the budget reconciliation bill May 13. The House Energy and Commerce Committee has been instructed to reduce deficits by $880 billion, indicating that significant Medicaid cuts are being considered.
AHA Statement on House Energy and Commerce Medicaid Proposal
The magnitude of the proposals contained in the Energy and Commerce reconciliation text represents a devastating blow to the health and well-being of our nation’s most vulnerable citizens and communities. There is no avoiding the real-life consequences they will create for hospitals serving our most vulnerable and hard-working families.
House committee proposes significant Medicaid changes, cuts in reconciliation bill
The House Energy and Commerce Committee late on May 11 released legislative text in advance of the May 13 markup on its portion of the reconciliation bill. Among other provisions, the language outlines significant changes to Medicaid financing.
URGENT: Contact Your Members of Congress to Protect Medicaid
The House Energy and Commerce Committee late last night released bill text in advance of its May 13 markup, with significant Medicaid cuts being considered.
AHA Statement on the House Energy & Commerce Full Committee Markup of Budget Reconciliation Text
The AHA provides comments on Budget Reconciliation text that is to be considered by the House Energy and Commerce Committee.